ABSTRACT
Self-esteem is an important aspect of adaptation in all stages of life, which in ageing time finds more importance, especially in mental health of elderly people. Reminiscence is a form of group psychotherapy, through which self-esteem and social intimacy through review of past experience will be affected. The aim of this study was to evaluate the effect of reminiscence group therapy on self-esteem among the elderly in nursing home in Uromie. This research was an experimental study in which elderly people of Ferdous, Azahra, Ara and Khane Sabz nursing homes had the required conditions to enter the study program based on inclusion and exclusion criteria. After cloning senior center groups, the two groups were randomly assigned as the intervention and control groups. Reminiscence group therapy sessions in the intervention group at each center consisted of 8 sessions, held twice a week. Rosenberg self-esteem questionnaire both before and after the intervention and control groups were completed by the elderly. Data Analysis with SPSS software using descriptive and inferential statistics was performed. Our results showed that group reminiscence therapy increased self-esteem scores mean in the intervention group [28.95 +/- 1.60] compared to those before [26.30 +/- 3.09]. Comparison of self-esteem scores mean between the intervention and control groups after the intervention was statistically significant [P<0.001]. Implementing of reminiscence group therapy had a positive influence on self-esteem of the elderly. This intervention as an inexpensive, easy and independent measure in nursing in all nursing homes and homes is recommended
Subject(s)
Humans , Female , Male , Self Concept , Aged , Nursing HomesABSTRACT
Transcutaneous bilirubin measurement is a noninvasive method which is associated with decreased pain, less skin injury and lower risk of infection. In addition there is no need to take blood sample .The aim of this study was to determine the clinical accuracy of transcutaneous bilirubinometry [TCB] in comparison to that of total serum bilirubin [TSB] measurements in term neonates. This descriptive- analytic study included 212 term neonates with indirect hyperbilirubinemia at neonatal intensive care unit of Imam Reza Hospital in Kermanshah from January 2009 to August 2010. Inclusion criteria were: birth weights between 2500-4000 grams and postnatal age between 2-28 days. Before starting phototherapy blood samples for measurement of serum bilirubin levels were obtained and measurement of transcutaneous bilirubin was carried out at the same time. Measurement of transcutaneous bilirubin from the forehead skin was performed by a trained person according to the manufacturer's recommendations. Data analysis was performed with Stata software. Mean values for total serum bilirubin before and after the onset of phototherapy were 18.43 and 15.21 mg/dl, and the respective values for transcutaneous bilirubin were 18.08 and 15.02mg/dl. There were no significant differences between transcutaneous and serum bilirubin levels before the onset of phototherapy [p=0.47], and the linear correlation coefficient was 0.50. Also no significant differences were detected between transcutaneous and serum bilirubin levels after phototherapy [p=0.27], and the correlation coefficient was 0.78. There was a good correlation between transcutaneous bilirubin and serum bilirubin levels especially in the male neonates with birth weights of less than 2600 grams after 12 hours of phototherapy. According to the results of this study, transcutaneous bilirubinometry can be recommended for the screening of neonatal jaundice